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Organization

K N SOLOMON MBAGWU MD INC. A PROFESSIONAL MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. K.N. SOLOMON MBAGWU M.D. (PRESIDENT)
(310) 672-4881
Entity
Organization

Contact information

Practice address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 242-0139
(323) 242-0149
Mailing address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 242-0139
(323) 242-0149

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G42217
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G422170
CA
Enumeration date
01/30/2007
Last updated
06/06/2008
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